Read this statement and initial here _____ I (we) understand
that there is a chance the weekend may be cancelled at the last
minute. Were this to happen, Clark will refund all my money less $5
(for John's plane fare).

Please write suggestions for Saturday morning and afternoon dance
activities on the back or e-mail Clark.

A deposit of $50 per person is due by 8/30/11. Make your check
payable to Clark Baker and either give it (and this form) to him at
dancing on Tuesday, or mail them to 426 Marsh St., Belmont, MA
02478-1109. The balance is due by 9/20/11. If you can pay in full
when you send in your deposit, it will make things a little easier.